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NPI Code Detail

MEDICARE: DR. KILEY ANN SEQUENZIA D.C.

MEDICARE:  DR. KILEY ANN SEQUENZIA  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1712NE

General Provider Information

NPI Number : 1902163041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KILEY ANN SEQUENZIA D.C.
Provider Business Mailing Address
First Line : 8424 W CENTER RD STE 100
Second Line :
City : OMAHA
State : NE
Zip : 68124-3138
Country : US
Telephone Number : 402-933-6233
Fax Number : 402-933-6255
Provider Business Practice Location Address
First Line : 8424 W CENTER RD STE 100
Second Line :
City : OMAHA
State : NE
Zip : 68124-3138
Country : US
Telephone Number : 402-933-6233
Fax Number : 402-933-6255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2012
Last Update Date : 03/09/2023

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Directions to “ DR. KILEY ANN SEQUENZIA D.C.” Practice Location

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